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Axial bone window

IMPRESSION:

1. Left infraorbital canal /orbital floor and posterior wall of the left maxillary sinus fractures along with left maxillary hemosinus due to impaled boot high heel metal rod through the left orbit medialinferior quadrant.2. Optic nerve, superior, medial rectus appear intact.3. Due to extensive streak artifact it is difficult to assess for globe and inferior, lateral rectus injury.

Case Discussion

See reference below for description of surgery

Repeat CT impression:

Interval removal of foreign body from the left orbit with orbital fractures as described before. Ocular globes, extraocular muscles, and optic nerves appear grossly intact.

References

Unusual difficult airway due to the presence of a large facial foreign body
Article in Canadian Journal of Anaesthesia 62(1) · November 2014
DOI: 10.1007/s12630-014-0249-z ·